Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity
Purpose To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO). Methods Retrospective study. Results Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most commo...
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Published in | International ophthalmology Vol. 38; no. 6; pp. 2487 - 2493 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Dordrecht
Springer Netherlands
01.12.2018
Springer Nature B.V |
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Abstract | Purpose
To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).
Methods
Retrospective study.
Results
Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%;
p
= 0.005).
Conclusion
Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes. |
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AbstractList | PurposeTo describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).MethodsRetrospective study.ResultsMean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005).ConclusionPostsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes. PURPOSETo describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).METHODSRetrospective study.RESULTSMean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005).CONCLUSIONPostsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes. To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO). Retrospective study. Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005). Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes. Purpose To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO). Methods Retrospective study. Results Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005). Conclusion Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes. |
Author | George, Amala Elizabeth Anthony, Eliza Ganesh, Sudha K. Biswas, Jyotirmay Dutta Majumder, Parthopratim |
Author_xml | – sequence: 1 givenname: Parthopratim surname: Dutta Majumder fullname: Dutta Majumder, Parthopratim email: drparthopratim@gmail.com organization: Department of Uvea, Medical Research Foundation, Sankara Nethralaya – sequence: 2 givenname: Eliza surname: Anthony fullname: Anthony, Eliza organization: Department of Uvea, Medical Research Foundation, Sankara Nethralaya – sequence: 3 givenname: Amala Elizabeth surname: George fullname: George, Amala Elizabeth organization: Department of Uvea, Medical Research Foundation, Sankara Nethralaya – sequence: 4 givenname: Sudha K. surname: Ganesh fullname: Ganesh, Sudha K. organization: Department of Uvea, Medical Research Foundation, Sankara Nethralaya – sequence: 5 givenname: Jyotirmay surname: Biswas fullname: Biswas, Jyotirmay organization: Department of Uvea, Medical Research Foundation, Sankara Nethralaya |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29164454$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/S0161-6420(80)35270-6 10.1097/00004397-200040010-00008 10.1097/00004397-199030040-00014 10.1097/00006982-200004000-00017 10.1136/bjo.84.3.259 10.1136/bjo.62.10.722 10.1001/archopht.1995.01100050065032 10.1097/00004397-200207000-00019 10.4103/0301-4738.170980 10.1136/bjo.84.5.448 10.1007/s00417-005-0009-4 10.2174/1874364101610010154 10.2147/OPTH.S14948 10.1016/S0002-9394(14)77368-4 10.1136/bjophthalmol-2013-304257 10.1016/S0140-6736(10)61894-6 10.1080/09273940600976938 10.1038/sj.eye.6702927 10.1016/j.ajo.2009.05.033 10.1001/archopht.1979.01020020402028 10.3109/09273948.2013.841958 |
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Keywords | Sympathetic ophthalmia Vitreoretinal surgery Nongranulomatous uveitis Scleral buckle |
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Snippet | Purpose
To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).
Methods
Retrospective study.
Results... To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO). Retrospective study. Mean age of the patients... PurposeTo describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).MethodsRetrospective study.ResultsMean... PURPOSETo describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).METHODSRetrospective study.RESULTSMean... |
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SubjectTerms | Adolescent Adult Aged Cataracts Child Eye (anatomy) Female Humans Immunosuppressive Agents - therapeutic use Kaplan-Meier Estimate Male Males Medicine Medicine & Public Health Middle Aged Mutton Ophthalmia Ophthalmia, Sympathetic - pathology Ophthalmia, Sympathetic - physiopathology Ophthalmia, Sympathetic - therapy Ophthalmologic Surgical Procedures - adverse effects Ophthalmologic Surgical Procedures - statistics & numerical data Ophthalmology Original Paper Patients Postoperative Complications Retrospective Studies Steroids - therapeutic use Surgery Uveitis Visual Acuity - physiology Young Adult |
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Title | Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity |
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